Carcinoma of gastric remnant after surgery for benign peptic ulcer
Neimark, S.; Rogers, A.I.
Postgraduate Medicine 72(6): 245-247
1982
ISSN/ISBN: 0032-5481 PMID: 7145784 Document Number: 188959
Twenty-two years after surgery for recurrent bleeding duodenal ulcer, a 63-year-old man was found to have an unresectable tumor just proximal to the gastrojejunal anastomosis. The incidence of carcinoma in the gastric remnant in patients who have had such surgery is significantly higher than in the general population. The mean time between surgery and diagnosis of carcinoma is 22 years. In patients who have undergone surgery for benign ulcer disease, new or altered symptoms appearing ten or more years after gastric surgery call for a high level of suspicion combined with in-depth investigation. Prompt, accurate diagnosis may result in improved survival.